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March 1989

Pyomyositis in a Patient With the Acquired Immunodeficiency Syndrome

Author Affiliations

Pawtucket, RI

Arch Intern Med. 1989;149(3):705-709. doi:10.1001/archinte.1989.00390030149032

To the Editor.—Gaut et al1 recently reported in the Archives the first case of pyomyositis in a patient with the acquired immunodeficiency syndrome (AIDS). We recently had the opportunity to care for a patient with AIDS with a similar presentation of staphylococcal pyomyositis. Staphylococcal infections are increasingly recognized in patients infected with the human immunodeficiency virus,2 and muscle abscesses and other suppurative complications may be more frequent as the AIDS epidemic continues to expand. The following case report and the recent report in the Archives1 serve to illustrate the need to sedulously pursue musculoskeletal complaints in HIV-infected patients.

Report of a Case.—A 35-year-old homosexual man was admitted in March 1988 with complaints of diffuse myalgias. The patient had been previously treated for Pneumocystis carinii pneumonia in July 1987 and was known to be HIV seropositive and to have a low T helper-suppressor ratio. He complained

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